Or. Admin. Code § 847-050-0041 - Prescribing and Dispensing Privileges
(1) A physician associate registered prior to
July 12, 1984, who does not possess the qualifications of OAR
847-050-0020 may retain all
practice privileges which have been granted prior to July 12, 1984. Under these
conditions, a physician associate may issue written, electronic or oral
prescriptions for Schedule III-V medications, based on the physician
associate's education, training, experience, and commensurate with the
collaboration agreement, if the physician associate has passed a specialty
examination approved by the Board prior to July 12, 1984, and the following
conditions are met:
(a) The physician
associate has passed the Physician Assistant National Certifying Examination
(PANCE); and
(b) The physician
associate has documented adequate education or experience in pharmacology
commensurate with the collaboration agreement.
(2) A physician associate may issue written,
electronic, or oral prescriptions for Schedule III-V medications, based on the
physician associate's education, training, experience, and commensurate with
the collaboration agreement.
(3) A
physician associate may issue written or electronic prescriptions or emergency
oral prescriptions followed by a written authorization for Schedule II
medications if the requirements in section (1) or (2) of this rule are
fulfilled and if the physician associate is currently certified by the National
Commission for the Certification of Physician Assistants (NCCPA).
(4) All prescriptions given whether written,
electronic, or oral must include the name, office address, and telephone number
of the physician associate. The prescription must also bear the name of the
patient and the date on which the prescription was written, except as provided
in OAR 847-015-0050 for expedited
partner therapy for sexually transmitted disease. The physician associate must
sign the prescription and the signature must be followed by the letters "PA"
Also the physician associate's Federal Drug Enforcement Administration number
must be shown on prescriptions for controlled substances.
(5) A physician associate may register with
the Board to dispense drugs commensurate with the collaboration agreement and
the physician associate's prescriptive authority.
(a) If the facility where the physician
associate will dispense medications serves population groups federally
designated as underserved, geographic areas federally designated as health
professional shortage areas or medically underserved areas, or areas designated
as medically disadvantaged and in need of primary health care providers as
designated by the State, the application must include:
(A) Location of the practice site;
(B) Accessibility to the nearest pharmacy;
and
(C) Medical necessity for
dispensing.
(b) If the
facility where the physician associate will be dispensing medications is not in
one of the designated areas or populations described in subsection (5)(a) of
this rule, the physician associate may not dispense Schedule I through II
controlled substances.
(6) A physician associate with dispensing
authority must:
(a) Dispense medications
personally, except that nonjudgmental dispensing functions may be delegated to
staff assistants when the accuracy and completeness of the prescription is
verified by the physician associate;
(b) Maintain records of the receipt and
distribution of prescription drugs and the records must be readily accessible
for inspection by the Board upon request;
(c) Dispense only medications that are
pre-packaged by a licensed pharmacist, manufacturing drug outlet or wholesale
drug outlet authorized to do so under ORS 689;
(d) Label dispensed prescription drugs in
compliance with the requirements of ORS
677.089(3);
(e) Dispense prescription drugs in containers
complying with the federal Poison Prevention Packaging Act unless the patient
requests a noncomplying container; and
(f) Register with the Drug Enforcement
Administration and maintain a controlled substances log as required in OAR
847-015-0015.
(7) Distribution of samples, without charge,
is not dispensing under this rule. Administering drugs in the facility is not
dispensing under this rule. Distribution of samples and administration of drugs
must be documented in the patient record. Documentation must include the name
of the drug, the dose, the quantity distributed or administered, and the
directions for use if applicable.
(8) Failure to comply with any section of
this rule is a violation of the ORS Chapter 677 and is grounds for a $195 fine.
The licensee may be subject to further disciplinary action by the
Board.
Notes
Statutory/Other Authority: ORS 677.265 & ORS 677.511
Statutes/Other Implemented: ORS 677.190, ORS 677.205, ORS 677.265, ORS 677.470, ORS 677.511, ORS 677.515 & ORS 677.545
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